Michael Vollmer or Donna Bertino
Christian Brothers Risk Management Services
1205 Windham Parkway
Romeoville, IL 60446
Fax: 630.378.2508
If you need assistance in completing these forms,
please call Michael Vollmer at 1.800.807.0100 ext.
3024, or Donna Bertino at 1.800.807.0100 ext. 2529.
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Adobe Reader is a free download. Some files are also
available in Microsoft Word format.
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General Property/Casualty Coverage (48 KB) Use this application to request a quote to obtain protection for buildings, contents, automobiles and general liability. |
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General Property/Casualty Coverage, Word Document (.99 MB) |
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Workers' Compensation Coverage (36 KB) Use this application to request a quote to obtain protection for compensating employees who become injured or ill as a result of their employment. |
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Worker's Compensation Coverage, Word Document (200 KB) |
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Limited Professional Health Care Services Application (33 KB) Use this application to request a quote to obtain protection against liability claims arising from licensed practitioners who deliver medical services. |
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Limited Professional Health Care Services Application, Word Document (204 KB) |
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Excess Directors and Officers Coverage (83 KB) Use this application to request a quote to obtain protection against liability claims filed against your organization as a result of the actions of Corporate Directors and Officers. |
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Excess Directors and Officers Coverage, Word Document (957 KB) |
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Automobile Schedule (9 KB) |
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Property Value Schedule (6 KB) |
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Open to the Public Nursing Home Care Application (57 KB) |
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Open to the Public Nursing Home Care Application, Word Document (723 KB) |
